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PMT18-02674 City of Menifee Permit No.: PMT18-02674 29714 HAUN RD. Jr MENIFEE,CA 92586 Type: Residential Electrical MENIFEE MENIFEE Date Issued: 06/1812018 PERMIT Site Address: 29229 STEAMBOAT DR,MENIFEE, CA Parcel Number: 333-450-005 92585 Construction Cost: $10,000.00 Existing Use: Proposed Use: Description of INSTALL ROOF MOUNTED PV SOLAR SYSTEM-4.68KW, 13 MODULES, 1 INVERTER, 5KW Work: ENERGY STORAGE AND 1 TESLA BATTERY Owner Contractor JASON& KARREN MARCHAND NB BAKER ELECTRIC INC 29229 STEAMBOAT 2140 ENTERPRISE STREET MENIFEE, CA 92585 ESCONDIDO, CA 92029 Applicant Phone:7605466091 NB BAKER ELECTRIC INC License Number:858088 2140 ENTERPRISE STREET ESCONDIDO,CA 92029 Phone: 7605466091 Fee Description (lit Amount f$) Solar, Residential or Small Commercial 1 252.00 Building Permit Issuance 1 27.00 Additional Plan Review Building 65 64.55 Additional Plan Review Building 129 129.07 GREEN FEE 1 1.00 SMIP RESIDENTIAL 1 2.00 General Plan Maintenance Fee-Electrical 1 12.60 $488.22 The issuance of this permit shall not prevent the building official from thereafter requiring the correction of errors in the plans and specifications or from preventing builiding operations being carried on thereunder when in violation of the Building Code or of any other ordinance of City of Menifee.Except as otherwise stated,a permit for construction under which no work is commenced within six months after issuance,or where the work commenced is suspended or abandoned for six months,shall expire,and fees paid shall be forfeited. AA_91dg_Perm1t_Template.rpt Page 1 of 1 CITY OF MENIFEE LICENSED DECLARATION property who builds or improves thereon,and who contracts for the projects hereby affirm under penalty of perjury that I am under provisions of with a licensed contractors)pursuant to the Contractors State License Law). Chapter9(commencing with section 7000)of Division 3 of the Business and o I am exempt from licensure under the Contractors State License Law for Professions Code and my license is in full force and effect. the following reason: License Class C/o -L- Cc[L License No. S s s 0 fr k By my signature below l acknowledge that,except for my personal residence Expires 7'31- /l Signature in which l must have resided for at least one year prior to completion of WORKER'S COMPENSATION DECLARATIONcl improvements covered by this permit.I cannot legally sell a structure that I have built as an owner-builder if it has not been constructed in its entirety by o I hereby affirm under penalty of perjury one of the following declarations:I licensed contractors.I understand that a copy of the applicable law,Section have and will maintain a certificate of consent of self-insure for worker's 7044 of the Business and Professions Code,is available upon request when compensation,issued by the Director of Industrial Relations as provided for this application Is submitted or at the following website: by Section 3700 of the Labor Code,for the performance of work for which this permit is issued. wLA .leginfo.m.eov/alaw.html. Policy It Date -�o I have and will maintain worker's compensation insurance,as required by PROPERTY OWNER OR AUTHORIZED AGENT section 3700 of the Labor Code,for the performance of the work for which o By my signature below I certify to each of the following:I am the property this permit is issued.My worker's compensation Insurance carrier and policy owner or authorized to act on the property owners behalf.I have read this number are: application and the information I have provided is correct.I agree to comply Carrier U with all applicable city and county ordinances and state laws relating to Polio g A I-J C- "}d5 a-6L "3-�_y 0 building construction.I authorize representatives of this city or county to Y Expires enter the above identified property for inspection purposes. (This section need not to be completed is the permit is for one-hundred dollars($100)or less Date PROPERTY OWNER OR AUTHORIZED AGENT 0 I certify that in the performance of the work for which this permit is issued, It) Ishallnotemolov any persons in any manner so as to become subject to the CITY BUSINESS LICENSE N workers compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION subject to the workers compensation provisions of Section 3700 of the Labor Code,Ishallfa4hwith comply with those provisions. �a Z Will the applicant or future building occupant handle hazardous material or r Applicant (C��O""1/ Date '6-� T mixture containing a hazardous material equal to or greater that the amounts sp5o lied on the Hazardous Materials information Guide? WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS o Yes rYNo UNLAWFUL,AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES Will the intended use of the building by the applicant or future building AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS($100,000),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR occupant require a permit for the construction or modification from South IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES Coast Air Quality Management District(SCAQMD)?See permitting checklist forguid:t. o CONSTRUCTION LENDING AGENCY Yes No I hereby affirm that under the penalty of perjury there is a construction Will the proposed building or modified facility be within 1000 feet of the lending agency for the performance of the work which this permit is issued outerbou�daryofaschool? (Section 3097 Civil Code) o Yes No OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD I hereby affirm under penalty of perjury that I am exempt from the permitting checklist.I understand my requirements under the State of Contractors License Law for the reason(s)indicated below by the California Health&Safety Code,Section 25505 and 25534 concerning checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 hazardous material reporting. Business and Professions Code).Any city or county that requires a permit to [>yl� DNo '!) / Date /0`Zconstruc issuance,also alter,improve, applicantsh for pair any hepermit to a signets its PROPERTY OWNER OR AUT RIZED AGENT issuance,also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors State EPA RENOVATION,REPAIR AND PAINTING(RRPI License Law(Chapter9(commencing with Section 7000)of Division 3 of the The EPA Renovation,Repair and Painting(RRP)Rule requires contractors Business and Professions Code)or that he or she Is exempt from licensure receiving compensation for most Painting that disturbs require a contractors and the bass for the alleged exemption.Any violation of Section 7031.5 by residence ompensor atinformty st work that drrrms and comply with than Applicant fora permit subjects the applicant taacivil penalty of not more required practices.This includes rental property owners and property than($500). managers who do the paint-disturbing work themselves or through their o I,as owner of the property,or my employee with wages as their sole employees.For more information about EPA's Renovation Program visit: compensation,will do( )all of or( )portion of the work,and the structure is www.esa.eov/lead or contact the National Lead Information Center at not intended or offered for sale.(Section 7044,Business and Professions 1-800-424-LEAD(5323). Code;The Contractors State License Law does not apply to an owner of a o An EPA Lead-Safe Certified Renovator will be responsible for thisproject property who,through employees'or personal effort,builds or improves the P property provided that the improvements are not intended or offered for Certified Firm Name: sale.If,however,the building or improvement is sold within one year of Firm Certification No.: completion,the Owner-Builder will have the burden of proving that it was not built or improved for the purpose of sale. 0 No EPA Lead-Safe Certified Firm is required for this project bemuse: D I,as owner of the property am exclusively contracting with licensed contractors to construct the project(Section 7044,Business and Professions Code;The Contractor's State License Law does not apply to an owner of a If your project does not comply with EPA RRP rule please fill out the RRP Acknowledgement.